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Utilization Review RN - Remote This position is Full-time and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical...

Chronic disease isn't managed in a clinic. It is managed at home, in relationships, in the everyday. What's on the dinner table, what gets said, and who notices when someone's struggling. For the 130 million Americans managing a chronic...

JOB DESCRIPTION This position will offer remote work flexibility, but the selected candidate must reside in Michigan. Opportunity for a Registered Nurse who has a US license in good standing to...

Job Summary: Under the direct supervision of a Registered Nurse or physician provides nursing care in accordance with the legal scope of practice and within established standards of care, policies and procedures. Demonstrates performance...

Overview Carenet Health is not authorized to hire in certain states due to internal business considerations: CA, CO, NY, NJ, NV, OR, WA, MD, RI, WV, AK, HI, CT, DE, VT, or Puerto RicoAre you a compassionate, self-motivated registered nurse with...

To support quality improvement and care coordination initiatives, the full-time Kansas Licensed Clinical Quality Nurse will serve as a clinical liaison, collaborating with providers and internal teams to enhance quality outcomes, while working...

Description & Requirements Maximus is hiring a Clinical Reviewer RN/LPN to support our LTSS Tennessee contract. Areas will include but are not limited to PASRR Level 1 and Katie Beckett. In this role, you will review...

Clinical expertise meets analytical precision in a role that directly shapes how patient care is captured, understood, and valued across the health system. As a Clinical Documentation Specialist, you bring a seasoned nursing perspective into a...

Triage Nurse LPN (Part Time/Days) Job ID: 308165 Category: Nursing Work Type: PT 20+ HOURS Location: East Petersburg, PA, United States Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to...

Telehealth Triage Nurse - RN Purpose: Triages or manages symptom-based encounters with a patient over the phone or video, utilizing evidence-based triage protocols. Decreases unnecessary visits to physicians, APP's, and the emergency room...

Description The Clinical Operations Lead/Nurse Case Manager for the IMPACT Program provides clinical andadministrative leadership for a statewide prostate cancer treatment initiative. This role oversees clinical...

Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital role in supporting members during critical moments in...

Details Client Name Cedar Sinai TACRI Imaging Job Type Travel Offering Nursing Profession RN Specialty...

Harris Health System, Inc. is looking for a Nurse Clinician for their Hospital at Home program. This role involves providing high-quality acute care at home, coordinating patient enrollment, and engaging in quality improvement projects. Candidates...

Find your calling at Mercy! Performs as an (RN) Nurse in the Mercy Virtual triage program in accordance with all applicable Federal, State, and Mercy rules, regulations, policies, and procedures, and performs all duties assigned by Medical...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Research Nurse Healthy Brain Clinic in Long Beach is part of the Irvine Clinical Research site network, the largest of its kind on the West Coast. With 5 research centers in California, we are leaders in the search for new treatments in...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The Clinic RN utilizes the nursing process by use of...

Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote Clinical expertise meets analytical precision in a role that directly shapes how patient care is captured, understood, and valued across the health system. As a...

The START Center for Cancer Research ("START") is the world's largest early phase site network, fully dedicated to oncology clinical research. Throughout our history, START has provided hope to cancer patients in global community practices by...

Work From Home Nurse Practitioner – Telehealth Women's Health | $125K+2 days ago Be among the first 25 applicantsThis range is provided by NPHire. Your actual pay will be based on your skills and experience — talk with your recruiter to learn...

Nurse Educator The Nurse Educator is responsible for providing support to ensure safe, effective and appropriate use of PROVENGE® (Sipuleucel-T) from enrollment to completed infusion for commercial accounts prescribing the Product and...

Description Nurse Manager - Short Stay and Recovery at Providence St. Joseph Medical Center in Burbank, CA. This is a Full-time, Day shift position. Providence St. Joseph Medical Center is proud to be...

Optum Clinical Claim Review Nurse Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

Telephonic Care Manager Opportunity Are you an experienced nurse looking for the next challenge in your career? Do you have knowledge of case management or care coordination? Check out this fantastic new opportunity! UPMC Health...